Correlation of Hallux Valgus Surgical Outcome With AOFAS Forefoot Score and Radiological Parameters

Thordarson, David B.; Ebramzadeh, Edward; Moorthy, Murali; Lee, Jessica; Rudicel, Sally

doi:10.1177/107110070502600202

Cited by 143 publications

(127 citation statements)

References 6 publications

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“…It was not surprising that the AOFAS scale did not reflect the outcome of hallux valgus surgery properly [22]. Radiological parameters should always be assessed to encompass all aspects.…”

Section: Discussionmentioning

confidence: 99%

Mid-term results of Scarf osteotomy in hallux valgus

Fuhrmann

Zollinger-Kies

Kundert

2010

International Orthopaedics (SICOT)

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We performed a retrospective study on 178 Scarf osteotomies with a mean follow-up of 44.9 months (range 15-83 months). Clinical rating was based on the forefoot score of the American Orthopaedic Foot and Ankle Society (AOFAS). Weight bearing X-rays were used to perform angular measurements and assess the first metatarsophalangeal joint (MTP 1). At follow-up the mean AOFAS score had improved significantly (p<0.001), but only 55% of the feet showed a perfect realignment of the first ray. Patients with a hallux valgus angle exceeding 30°and preexisting degenerative changes at the MTP 1 joint displayed inferior clinical results (p<0.05). Nearly 20% of the patients suffered from pain at the MTP 1 joint. This was clearly attributed to an onset or worsening of distinct radiographic signs of arthritis (p<0.05) resulting in painfully decreased joint motion. Comparing radiographic appearance three months postoperatively and at follow-up, we found that radiographic criteria (hallux valgus, first intermetatarsal angle, hallux valgus interphalangeus, MTP 1 joint congruency, arthritic lesions at MTP 1) worsened with time.

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“…It was not surprising that the AOFAS scale did not reflect the outcome of hallux valgus surgery properly [22]. Radiological parameters should always be assessed to encompass all aspects.…”

Section: Discussionmentioning

confidence: 99%

Mid-term results of Scarf osteotomy in hallux valgus

Fuhrmann

Zollinger-Kies

Kundert

2010

International Orthopaedics (SICOT)

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“…They observed that although being overweight brings a greater chance of tendinitis, plantar fasciitis and osteoarthritis, normal-weight patients are more likely to develop HV. Conversely, Cho et al reported that patients with higher BMI are more prone to develop HV [13]. In 2010, the MOBILIZE Boston Study reported that the prevalence of HV in women decreases with increased BMI [18].…”

Section: Discussionmentioning

confidence: 99%

“…It comprises three sections related to pain, function and alignment assessment, with the worst score being 0 and the best 100. Worth noting is the proven correlation of AOFAS-HMI score with radiological results obtained after surgical correction of HV was described [13]. VAS was used to evaluate pain, where 0 is no pain and 10 is the worst pain possible.…”

Section: Methodsmentioning

confidence: 99%

Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction

Milczarek

Tomasik

et al. 2017

International Orthopaedics (SICOT)

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Purpose The purpose of this study was to investigate the association between body mass index (BMI) and the results of SCARF osteotomy of the first metatarsal for hallux valgus (HV) correction, as the literature on this is scant. Methods This prospective study was carried out between 2011 and 2015. One hundred and thirty-three patients diagnosed with moderate to severe HV underwent a SCARF corrective osteotomy. We divided the patients into two groups according to their BMI: normal and overweight. Postoperative follow-up was two years. All patients were examined twice by two medical doctors simultaneously: pre-operatively and postoperatively at two years' follow-up. Data collected included biometrical records, X-rays [HV angle (HVA), intermetatarsal angle (IMA), American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal Index (AOFAS-HMI) and visual analogue scale (VAS) for pain and satisfaction]. Results There was a significant difference between patient age (p = 0.001), age at onset (p < 0.001) and AOFAS-HMI (p = 0.035) at follow-up. Other parameters were similar in both groups. Conclusion Regardless of BMI, the radiological outcome was comparable. Despite a significant difference in AOFAS-HMI results, pain and satisfaction level were similar. The authors agreed that high BMI has protective role in the prevalence of HV.

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“…They found that the most critical variable to post-operative satisfaction in women was "the appearance of their foot" and that this was closely related to the "range of shoes that they were able to wear". Thordarson et al [17] (2005) described that "postoperatively, most patients resumed fashionable or conventional shoes without an insert". However, appraisal of their results showed that, despite overall improvement in the AAOS Foot and Ankle Core score, the standardized Shoe Comfort score remained 58.7 out of 100 at 24 mo follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Patients are typically counselled to anticipate a period of post-operative swelling and discomfort proportional to the required degree of correction and the amount of soft tissue disruption. Previous reports suggest that patients should expect to return to comfortable footwear between 6 wk and 6 mo post-operatively, depending on operative and patient factors [6,7,11,17] . However, the evidence documenting footwear outcomes following hallux valgus surgery is limited.…”

Section: Introductionmentioning

confidence: 99%

Footwear modification following hallux valgus surgery: The all-or-none phenomenon

Robinson¹,

Bhosale²,

Pillai³

2016

WJM

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Correlation of Hallux Valgus Surgical Outcome With AOFAS Forefoot Score and Radiological Parameters

Abstract: Patients who had hallux valgus surgery had significant improvements in four of their SF-36 scores, four of five of AAOS lower extremity scores, and AOFAS scores. The degree of deformity, amount of correction, or type of operation did not influence outcome.

Cited by 143 publications

References 6 publications

Mid-term results of Scarf osteotomy in hallux valgus

Mid-term results of Scarf osteotomy in hallux valgus

Being overweight has limited effect on SCARF osteotomy outcome for hallux valgus correction

Footwear modification following hallux valgus surgery: The all-or-none phenomenon

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